Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.36 / $1,382.00 / $7,417.86	Professional		$1,077.36	$1,382.00	$7,417.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,886.00 / $18,030.00	Facility		$2,675.00	$8,886.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.73 / $1,904.31 / $3,683.38	Professional		$1,470.73	$1,904.31	$3,683.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,052.02 / $1,510.71 / $3,436.23	Professional		$1,052.02	$1,510.71	$3,436.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $3,203.00	Facility		$1,646.28	$1,649.19	$3,203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.46 / $1,702.12 / $3,826.56	Professional		$1,265.46	$1,702.12	$3,826.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.38 / $1,653.57 / $2,085.29	Professional		$1,102.38	$1,653.57	$2,085.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.40 / $1,861.86 / $3,341.36	Professional		$1,344.40	$1,861.86	$3,341.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,319.20 / $7,214.30 / $26,542.00	Facility		$5,319.20	$7,214.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,279.20 / $10,561.36 / $12,246.53	Professional		$10,279.20	$10,561.36	$12,246.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,287.41 / $1,774.81 / $2,471.09	Facility		$1,287.41	$1,774.81	$2,471.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,319.76 / $1,795.84 / $3,756.69	Professional		$1,319.76	$1,795.84	$3,756.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,602.64 / $4,602.64 / $4,602.64	Professional		$4,602.64	$4,602.64	$4,602.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,346.34 / $1,653.57 / $2,085.28	Professional		$1,346.34	$1,653.57	$2,085.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.05 / $1,409.99 / $3,146.00	Professional		$1,098.05	$1,409.99	$3,146.00